Title: Evaluation of Adhesion Force and Binding Affinity of Phytohemagglutinin Erythroagglutinating to EGF Receptor on Human Lung Cancer Cells Running title: Binding Affinity and Force of PHA-E to EGFR Byline: Wei-Ting Kuo, Guo-Chung Dong, Chun-Hsu Yao, Jian-Yuan Huang, Feng-Huei Lin Correspondent footnote: Feng-Huei Lin Professor Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan Fax: 886-2-23940049; Tel: 886-2-23912641; e-mail: double@ntu.edu.tw Keywords: Adhesion Force; Binding Affinity; Epidermal Growth Factor Receptor; Lung Cancer; Natural Product; Phytohemagglutinin Erythroagglutinating; Target Molecule 1 Evaluation of Adhesion Force and Binding Affinity of Phytohemagglutinin Erythroagglutinating to EGF Receptor on Human Lung Cancer Cells Wei-Ting Kuo1, Guo-Chung Dong2, Chun-Hsu Yao3,4, Jian-Yuan Huang1, Feng-Huei Lin1,2* 1 Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan 2 Division of Medical Engineering Research, National Health Research Institutes, Miaoli, Taiwan 3 Department of Biomedical Imaging and Radiological Science, China Medical University, Taichung, Taiwan 4 School of Chinese Medicine, China Medical University, Taichung, Taiwan *Corresponding Author Feng-Huei Lin Professor Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan Fax: 886-2-23940049; Tel: 886-2-23912641; e-mail: double@ntu.edu.tw 2 Abstract PHA-E is a natural product extracted from red kidney beans, and it has been reported to induce cell apoptosis by blocking EGFR in lung cancer cells. Because EGF is the major in vivo competitor to PHA-E in clinical application, PHA-E must be proved that has better affinity to EGFR than EGF. This study would focus on how PHA-E tightly bind to EGFR and the results would compare with EGF. The adhesion force, measured by AFM, between EGFR and PHA-E was 207.14±74.42 pN that was higher than EGF (183.65±86.93 pN). The equilibrium dissociation constant of PHA-E and EGF to EGFR was 2.4×10-91.4×10-9 and 7.3×10-82.7×10-8, respectively, that could evaluate binding affinity. The result showed that binding affinity of PHA-E to EGFR was one order higher than EGF to EGFR. In the results of flow cytometer and confocal microscope, we found binding efficiency of EGF to EGFR was decrease as the concentration of PHA-E increased. In the analysis of Western blot, treatment of A-549 cells with PHA-E resulted in a dose-dependent decrease in EGFR phosphorylation. In conclusion, we found that PHA-E had better adhesion force and binding affinity to EGFR than that of the EGF. The interaction between PHA-E and EGFR could block EGF binding and then inhibit EGFR phosphorylation. PHA-E could be developed into a new target molecule for lung cancer treatment that could be immobilized on the drug carrier to guide therapeutic particles to the tumor site. Keywords: Adhesion Force; Binding Affinity; Epidermal Growth Factor Receptor; Lung Cancer; Natural Product; Phytohemagglutinin Erythroagglutinating; Target Molecule 3 1. Introduction Lung cancer is the leading cause (23%) of cancer-related deaths in males and the second leading cause (13%) of the total cancer deaths in females around the world [1]. It can be generally divided into small-cell lung cancer (SCLC) and non-small-cell lung cancer (NSCLC). NSCLC accounts for approximately 85% of lung cancer cases and the main histologic types are adenocarcinoma, squamous-cell carcinoma, and large-cell carcinoma [2]. Epidermal growth factor receptor (EGFR) is overexpressed in many epithelial cancers, including NSCLC, and occurs in 40-80% of patients with NSCLC [3]. EGFR is a member of ErbB family of receptor tyrosine kinases (RTKs) [4], and it is a transmembrane glycoprotein comprised of extracellular ligand-binding domain, transmembrane domain, intracellular protein tyrosine kinase domain and C-terminal domain [5]. Activation of EGFR occurs when a ligand such as epidermal growth factor (EGF) binds to the extracellular domain and induces conformational changes that cause EGFR to be homodimer with itself or heterodimer with other members [6], and then directly active tyrosine kinase domain and ensuing auto-phosphorylation of C-terminal tyrosine residues, finally induces the downstream signaling pathway [7]. Over expression of EGFR is associated with several hallmarks of cancer, including inhibition of apoptosis, sustained angiogenesis, proliferation and survival, and tissue invasion and metastasis [8]. EGFR inhibitors have been investigated as first-line or subsequent therapy options for patients with NSCLC [9]. There are two classes of EGFR inhibitors in clinical use in NSCLC. One is monoclonal antibodies that block ligand binding and receptor activation by targeting the extracellular domain of EGFR. The other is small-molecule tyrosine kinase inhibitors that inhibit the tyrosine kinase activity by competing with ATP for ATP-binding site [10]. These EGFR inhibitors could stop cell growth and induce apoptosis of cancer [11]. However, it would be time-consuming and very costly to produce EGFR inhibitors from several steps by genetic engineering method [12]. In addition, some side effects have been in many literatures such as acneiform eruption, xerosis cutis, nail abnormalities, folliculitis, hair modifications, mucosal disorders, etc [13,14]. The drug-resistance was also reported after long term administration [15,16]; that forced to consider the other anti-cancer drugs in cancer treatment. Over the last two decades, scientists and researchers tried to look for the substances extracted from the natural products or herbs [17]; that could effectively bind to EGFR as the substitute of EGFR inhibitors to lower down the side effects and cost. 4 Phytohemagglutinin erythroagglutinating (PHA-E) is a phytohemagglutinin (PHA) isoform which is derived from red kidney beans (Phaseolus vulgarus), and it is a glycoprotein of approximately 125 kDa. PHA is usually used for the activation of normal T cells and has been demonstrated to exhibit antifungal, antiviral, and HIV-1 reverse transcriptase inhibitory activities [18]. PHA was also reported to inhibit the growth of human cancer cells [19,20]. In the previous study, we found PHA-E could induce growth inhibition and cytotoxicity of lung cancer cells, which was mediated through blocking EGFR pathway and activation of the mitochondria apoptosis pathway [21]. However, EGF is the major in vivo competitor to PHA-E in clinical application; PHA-E must be proved that has better affinity to EGFR than EGF. Atomic force microscope (AFM) and surface plasmon resonance (SPR) are powerful techniques for analyzing biomolecular affinity [22]. AFM can be designed as a high resolution scanning machine [23], and it is also a useful tool for the measurement of the adhesion forces between ligands and receptors [24,25]. When the AFM tips are coated ligands and the substrates are immobilized receptors, the process is required bringing the tip in contact with the surface so that to form a ligand-receptor complex. And then the tip is retracted from the substrate surface, the rupture force for dissociation of pulling away the tip from the substrate can be measured through the deflection of the cantilever which is detected by a laser beam aimed at the cantilever and reflected onto a photodiode detector [26]. SPR biosensor technology could be used to measure reaction kinetics and calculating affinity constants of biomolecular interaction in real time with a high degree of sensitivity and without labeling requirements [27,28]. When the activated surface of sensor chip is immobilized receptors, the ligands in solution will flow through surface. Binding of interacting ligands to surface-immobilized receptors alters the mass of surface layer. SPR detects change in the refractive index and the shift of resonant angle of reflected light can be monitored in real time as a plot of resonance signal versus time [29,30]. This study would focus on how PHA-E tightly binds to EGFR and the results would compare with EGF. If the PHA-E showed better affinity to EGFR, it could compete with EGF to bind to EGFR that block the following cellular reactions as done by EGFR inhibitor; which should have a great potential as one of anti-cancer drugs with low cost and side effects. 2. Materials and methods 2-1 Materials and reagents 5 AFM tips were purchased from Asylum Research (California, USA). Sensor CM5 chips were obtained from Biacore Life Science (Uppsala, Sweden). EGF was purchased from PeproTech (New Jersey, USA). EGFR and PHA-E were as-received from Sigma-Aldrich (Missouri, USA) with lot number of E2645 and L8629, respectively. Alexa Fluor 488 EGF complex would be used directly as-received from Invitrogen (California, USA); and CellTracker Red CMTPX were purchased from Invitrogen as well. Pierce BCA protein assay kit was purchased from Thermo Scientific (Massachusetts, USA). The anti-bodies for Alpha-Tubulin and EGFR (phosphor Tyr1068) were purchased from GeneTex (Taiwan, ROC). 2-2 The modification of AFM tips and Sensor CM5 chips EGF and PHA-E would be individually coated on the succinimide-modified silicon nitride cantilever tips. The process was briefly described as follows. The tips were immersed in the solution of EGF and PHA-E with concentration of 1 mg/ml, respectively, for 24 hours at 4°C and then washed phosphate buffer solution (PBS). Finally, the residual succinimide ester was deactivated by ethanolamine for 30 minutes at 4°C. The modified tips were stored in PBS at 4°C for later use. EGFR was immobilized to the Sensor CM5 chips by amine coupling method. The chips were cleaned with HBS-EP buffer (0.01 M HEPES, pH 7.4; 0.15 M NaCl, 0.005% v/v Surfactant P20) and then soaked in EDC/NHS solution for activation overnight at 4°C. The EGFR were immobilized to the surface-activated chips at 4°C. The residual N-hydroxysuccinimide ester was deactivated by ethanolamine for 30 minutes at 4°C. The EGFR-immobilized chips were stored in HBS-EP buffer at 4°C for later experiments. 2-3 Adhesion force measurements The topography and microstructure of the chip was obtained by MFP-3D-BIO AFM (Asylum Research, California, USA) with tapping mode. The binding force between the test sample and EGFR was measured on AFM by contact mode in PBS at room temperature. The location of immobilized EGFR on the chip was identified to allow tip moving on for later measurement. Stress-strain curve (force-distance curve) was obtained by moving the surface-modified tip to the EGFR-immobilized location, holding it on for 3 seconds to allow binding to occur and then retracting. All the measurements were executed at the same loading rate. The spring constant of the cantilever used in the study was 0.06 N/m. The approach/retract velocity was 4 μm/s. Curves showing non-specific binding events were not analyzed. 6 Adhesion force is measured in an AFM by collecting a force curve, which is a plot of cantilever deflection (d) converted from a position sensitive photo-diode (PSPD). This deflection distance, as function of sample position along the z-axis, is then converted into a force value acting on the spring constant (k) of tip cantilever and relationship to Hooke's law [31]: F k d (1) The spring constant is determined from the individual frequency resonances with its shape factor which is expressed as: k 2wfL 3 (2) E where w is the width of cantilever, f is the measured resonant frequency, L is the length of cantilever, ρ is the density of cantilever material, and E is the elastic modulus (Young's modulus) of cantilever material [32]. 2-4 Binding affinity analysis The binding affinity of EGF and PHA-E to EGFR was measured by using a Biacore 2000 SPR system (Biacore Life Science, Uppsala, Sweden) at room temperature. EGFR (200 μg/ml) was diluted in 10 mM sodium acetate (pH 4.5) and immobilized to Sensor CM5 chip by using the amine coupling method. The immobilization was completed when 10,000 resonance units (RUs) of EGFR was achieved on experimental flow channel. The chip without EGFR on the other flow channel was used as control. PBS was used as the running buffer and 50 mM NaOH was used for regeneration of the chip surface. For each concentration of EGF and PHA-E, the flow rate of association and dissociation were both 5 μl/min and regeneration was 100 μl/min. The equilibrium dissociation constant (KD) was obtained to evaluate the binding affinity by using the BIAEvaluation software (Biacore Life Science, Uppsala, Sweden). Binding affinity is measured in a SPR by using kinetic method to calculate the equilibrium dissociation constant (KD) [33,34]. This model displays the simplest situation of an interaction between ligand (A) and immobilized receptor (B). The binding reaction equation of A and B: ka A B AB kd (3) where ka is the association rate constant and kd is the dissociation rate constant. And the rate of product 7 (AB) formation at time t is written as: d AB k a AB k d AB (4) dt After some reaction time t: B B0 AB (5) where B0 is the concentration of B at t = 0. And taking (5) into (4) gives: d AB ka AB 0 AB kd AB dt (6) AB complexes at the surface is proportionally formed and called signal R. Therefore, Equation (6) becomes: dR kaC Rmax R kd R dt where (7) dR is the rate of formation of surface associated complexes, C is the constant concentration of dt A and Rmax is the capacity of A bound to B at surface. And the integrated form of the rate equation: Rt Cka Rmax 1 e Ck a k d t Cka kd (8) This integrated rate is described the association phase of the binding curve. And the rate of dissociation of the formed complexes (AB) is written as: dR kd R dt (9) The integrated form of the rate equation: Rt R0e k d t (10) where Rt is the response at time t and R0 is the amplitude of the response. We use equation (8) and equation (10) to fit independently the data for association and dissociation phases respectively that predict binding kinetic parameters. 8 2-5 Cell culture A-549 (human lung adenocarcinoma) cells from BCRC (Taiwan, ROC) were cultured in nutrient mixture F-12 Ham Kaighn's modification (Ham's F-12K) medium supplemented with 10% fetal bovine serum (FBS) and 1.5 g/L sodium bicarbonate. The cells were maintained under standard cell culture conditions at 37°C and 5% CO2. Typically, adherent cells were harvested with trypsin-EDTA and re-suspended in a serum-containing medium before use in the assays as described below. 2-6 EGF binding assay Commercialized EGF binding assay purchased from Invitrogen was used to evaluate how the PHA-E competes with EGF bind to EGFR of cell membrane by flow cytometry. EGF as-received from commercial kit was conjugated with green fluorescent protein (GFP). The intensity of fluorescence would be detected when EGF bound to EGFR. A-549 cells, one of cancer cells with EGFR overexpression, were seeded at culture dishes and incubated overnight. The medium was then replaced with serum-free medium. After cultured further 24 hours, cells were harvested, washed and re-suspended in 1 ml PBS. Cells were incubated only with EGF or with EGF and PHA-E at same time in an incubator (37°C) for 15 minutes. Fluorescence was measured with a flow cytometer to in terms of how much EGF binds to EGFR under the condition of PHA-E appear. 2-7 Immunofluorescent staining Immunofluorescent staining was used to further check how PHA-E to compete with EGF bind to EGFR. EGF was conjugated with GFP and the red fluorescence was CellTracker reagents which could label the cytoplasm. The green fluorescence would be detected when EGF bound to EGFR and the red fluorescence allowed tracing the cell location. The process was briefly described as follows. A-549 cells were seeded on a chamber slides and incubated overnight. The medium was replaced with CellTracker dye working solution and reacted for 30 minutes. The working solution was then washed and replaced with fresh medium. After cultured for another 30 minutes, the medium was replaced with serum-free medium. Cells were incubated in the medium with EGF; or incubated in the medium with EGF and PHA-E. After stayed in the incubator for 30 minutes, cells were washed with PBS for several times. The chamber slides were mounted on confocal microscope for examination. 2-8 Western blot analysis When EGF binds to EGFR, it would cause to EGFR phosphorylation and induce the series of cellular reactions. In the study, Western blot analysis was used to detect EGFR phosphorylation as 9 follows. A-549 cells were seeded in petri dish and incubated overnight. The medium was replaced with serum-free medium. After cultured for 24 hours, the medium was replaced with the medium containing EGF. Another group was to replace the medium with EGF and PHA-E addition. After cultured for 45 minutes, they were washed with PBS. The cells were then directly solubilized in a lysis buffer containing a protease inhibitor cocktail for 5 minutes on ice. The cells were then scraped and the lysate was collected in an eppendorf tube. The lysate was cleared by centrifugation at 12,000 g for 15 minutes at 4°C, and the protein concentration in the supernatant was determined by the Pierce BCA protein assay. For Western blotting, equal amounts of proteins were resolved over 10% sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and transferred onto a polyvinylidene fluoride (PVDF) membrane. The non-specific sites on blots were blocked by incubating the membrane in a blocking buffer (5% nonfat dry milk/TBST, pH 7.4) for 30 minutes at room temperature. Incubation was performed with an appropriate monoclonal primary antibody in TBST overnight at 4°C, and then incubated with a horseradish peroxidase (HRP) conjugated secondary antibody for 30 minutes at room temperature. Immuno-reactive bands were visualized using an enhanced chemo-luminescence (ECL) system. 2-9 Statistical analysis Numerical data were presented as mean standard deviation. Statistical differences among samples were performed with Student's t-test. Statistical significance was considered at a probability P < 0.05 3. Results 3-1 The measurement of adhesion force by AFM In this study, AFM was used to indirectly measure the adhesion force between EGF and EGFR. The tip immobilized with EGF was mounted on the cantilever of AFM and scanned on Sensor CM5 chips to trace the location where the EGFR immobilized on. Figure 1 showed AFM images of chip surface with EGFR and without EGFR immobilization. The chip without EGFR immobilization showed a relatively smooth surface (Figure 1 (a)) than that with EGFR immobilization (Figure 1 (b)). The AFM images could be processed by the IGOR Pro MFP-3D software (Asylum Research) as shown in Figure 1 (c) and (d). The spikes as high as 25 nm could be observed on the EGFR-immobilized chip (Figure 1 (d)) that would be indicated as the locations of EGFR where the EGF-immobilized tip would move to measure adhesion force between EGF and EGFR for later interaction. The adhesion force between EGF 10 and EGFR were calculated and sorted by histogram and fitted with a single Gaussian curve to estimate the adhesion force (Figure 2 (a)). The Guassian peak of histogram was at 158.624.30 pN. The average adhesion force between EGF and EGFR was 183.8686.93 pN with n = 517 (Table 1). The same procedure could be used to detect the adhesion force between PHA-E and EGFR. As shown in Figure 2 (b), the Gaussian peak of histogram was at 181.014.90 pN for PHA-E interaction with EGFR and the average adhesion force was calculated as 207.1474.42 pN with n= 517 (Table 1). From the study, we could tell that the adhesion force between PHA-E and EGFR was much higher than that of EGF and EGFR (as Table 1); that could interpret as PHA-E has higher affinity to EGFR than EGF. 3-2 The evaluation of binding affinity by SPR SPR was used to evaluate the binding affinity between EGF and EGFR by flowing ligand (EGF) over EGFR-immobilized Sensor CM5 chip. In the study, different concentrations of EGF were injected to the flow-channel and then flew over the EGFR-immobilized Sensor M5 chip. The binding affinity between EGF and EGFR could be in terms of the dissociation constant (KD); which could be calculated by using the BIAevaluation software (Biacore Life Science). As shown in Figure 3 (a), the KD value between EGF and EGFR was about 7.3×10-82.7×10-8 as shown in Table 2. The binding affinity between PHA-E and EGFR could be obtained from the same process as previous description (Figure 3 (b)). The KD value between PHA-E and EGFR was calculated as 2.4×10-91.4×10-9 (Table 2); that was much lower than that of KD value between EGF and EGFR. The study provided one more piece of evidence that the affinity of PHA-E to EGFR was higher than that of EGF to EGFR. 3-3 The competition of PHA-E and EGF bind to EGFR EGF could effectively bind to EGFR and induce the downstream signaling pathways that would be resulted in cell proliferation and survival of cancer. If targeting product of EGFR like PHA-E which could compete with EGF to bind to EGFR on the surface of A-549 cells, the activity of receptor would be inhibited that induce A-549 cancer cells apoptosis. It was therefore very important to investigate the competition between PHA-E and EGF to EGFR of A-549 cells. EGF was conjugated with GFP as received from commercialized product (EGF-GFP). The percentage of EGF-GFP binding to EGFR was detected by flow cytometer. The experiment was divided into 7 groups: the untreated group was A-549 cells without any treatment, the group of EGF100 was A-549 cells treated with 100 ng/ml of EGF, the group of EGF100+PHA-E8 was A-549 cells treated with 100 ng/ml EGF and 8 µg/ml PHA-E, the groups of EGF100+PHA-E16, EGF100+PHA-E32, EGF100+PHA-E64, and EGF100+PHA-E128 was 11 A-549 cells treated with 100 ng/ml EGF and 16 µg/ml PHA-E, 32 µg/ml PHA-E, 64 µg/ml PHA-E, and 128 µg/ml PHA-E, respectively. As shown in Figure 4, the fluorescence intensity was gradually decreasing with the concentration of PHA-E; where the GFP peak was shifting to left side once the treated concentration of PHA-E increased. The binding rate of EGF to EGFR were dropped as 99.7%0.1%, 99.4%0.2%, 97.7%0.7%, 94.3%1.3%, 84.8%3.4%, and 75.4%4.2%, when A-549 cells treated with 100 ng/ml EGF, 100 ng/ml EGF and 8 µg/ml PHA-E, 16 µg/ml PHA-E, 32 µg/ml PHA-E, 64 µg/ml PHA-E, and 128 µg/ml PHA-E, respectively (Table 3). The results could prove that the PHA-E could compete with EGF to bind to the EGFR effectively. The study could be further proved by confocal microscope as shown in Figure 5. The green fluorescence was the EGF bind to EGFR of A-549 cells and the red color was the cell tracker. We could see that the green fluorescence was getting less and even no green color when examined at merged picture with bright field (the far right column of Figure 5) once treated concentration of PHA-E up to 64 µg/ml. PHA-E treatment caused a dose-dependent decrease of the green fluorescence intensity. 3-4 The effect of competition between PHA-E and EGF on EGFR phosphorylation EGF binding could activate EGFR to induce auto-phosphorylation of C-terminal tyrosine residues, resulting in opening signaling pathway. If targeting product of EGFR like PHA-E which could not only compete with EGF to bind to EGFR on A-549 cells, but also inhibit EGFR phosphorylation, the downstream signaling pathways would be inhibited that induce A-549 cancer cells apoptosis. This study was going to understand whether PHA-E could inhibit EGFR phosphorylation by reducing EGF binding. The experiment was divided into 8 groups: the untreated group was the A-549 cells without any treatment, the group of EGF50 was A-549 cells treated with 50 ng/ml of EGF, the group of EGF50+PHA-E1 was treated with 50 ng/ml EGF and 1 µg/ml PHA-E, the groups of EGF-50+PHA-E2, EGF50+PHA-E4, EGF50+PHA-E8, EGF50+PHA-E16, and EGF50+PHA-E32 was A-549 cells treated with 50 ng/ml EGF and 2 µg/ml PHA-E, 4 µg/ml PHA-E, 8 µg/ml PHA-E, 16 µg/ml PHA-E, and 32 µg/ml PHA-E, respectively. As shown in Figure 6 (a), the expression of pEGFR(1068) was decrease with increase of PHA-E concentration; where the α-tubulin was used as the internal standard in Western blot. The results could be in terms of the bar chart as in Figure 6 (b). PHA-E treatment resulted in a dose-dependent decrease of EGFR phosphorylation. 4. Discussion 12 NSCLC is the most common type of all lung cancers. Surgery is the standard treatment for early-stage NSCLC; however, the majority of patients diagnosed at advanced stage are unsuitable for surgical resection or extensive mediastinal lymphadenopathy [35,36]. Platinum-based chemotherapy and/or thoracic radiotherapy is being the current standard of care for patients with unresectable advanced NSCLC [37,38]. Unfortunately, despite these therapies, prognosis is poor, with the 5-year survival rate of only about 16% for all stages [39]. Therefore, scientists started to look for other therapeutic strategies. Among those, anti-EGFR or EGFR inhibitor was one of the most extensive studies. In recent years, raising understanding of the molecular biology and mechanisms of tumors has led to the development of target therapy which improved the lack of target selectivity and toxicity profile of traditional cancer treatments [40,41]. EGFR has been identified as an important therapeutic target in the treatment of NSCLC because its high levels results in growth and survival of cancer [42,43]. EGFR following pathways are often activated in cancer owing to the binding of ligands such as EGF [44,45]. Lots of EGFR inhibitors have been developed for the therapeutic purpose. However, most of the inhibitors were generally induced serious side effects. PHA-E has been used to induce cell apoptosis and cytotoxicity by blocking EGFR pathway on lung cancer cells [21], but it had not been thoroughly explored how tightly bind to EGFR. As known, anyone of new EGFR inhibitor would face the challenge of EGF competition; so that it is necessary to understand the adhesion force and binding affinity between EGFR and PHA-E. Adhesion force is measured in an AFM by collecting a force curve. The adhesion force is characterized as the maximum force needed to begin separation of the ligand-receptor partners after contact. Therefore, the binding between ligands and receptors can be identified by the increase in the volume of the force [46]. In this study, we individually coated EGF and PHA-E on tips and immobilized EGFR on chip to determine the adhesion force between ligands and receptors by AFM (Figure 1). Our research suggests that there was higher adhesion force between PHA-E and EGFR than that of EGF and EGFR as shown in Figure 2 and Table 1. And then we used kinetic method to calculate the binding affinity by SPR [47]. We flowed different concentrations of EGF and PHA-E by SPR and then calculated the equilibrium dissociation constant (KD) by using the BIAEvaluation software (Figure 3). Our results suggest that EGF bound to EGFR with higher KD than PHA-E (Table 2). There is an inverse relationship between KD and affinity, so the 13 binding affinity of PHA-E to EGFR was higher than EGF. Though PHA-E is provided with high adhesion force and binding affinity to EGFR, it’s important to confirm whether PHA-E could compete against EGF binding and then lead to inhibit EGFR phosphorylation. Anti-EGFR mAbs have been developed not only has the ability to target but also can inhibit EGF binding and receptor tyrosine phosphorylation [48,49]. The extracellular regions of EGFR are composed of four subdomains. Ligand (EGF) binding stabilizes a domain rearrangement that domain II/IV contact is broken and domains I and II rotate as a pair to bring domains I and III into proximity and allow them to bind ligand simultaneously [50]. Our research demonstrated that EGF binding was decrease when the dose of PHA-E was increase as shown in Figure 4 and Table 3. The results of immunofluorescent staining showed the same trend of EGF binding inhibited by PHA-E (Figure 5). Finally, we check whether PHA-E could enough to inhibit EGFR phosphorylation by blocking EGF binding. Treatment of A-549 cells with PHA-E resulted in a dose-dependent decrease in the specific phosphorylation sites of EGFR (Figure 6). PHA-E may inhibit EGF binding to EGFR through direct competition with EGF by interacting with the EGF binding sites on the EGFR or indirectly blocking the ligand binding by fixing a receptor conformation that reduce EGF binding affinity. 5. Conclusion From the studies, we could conclude that PHA-E had better affinity to EGFR than that of the EGF. The study could be proved by AFM, SPR, flow cytometer, confocal microscope and Western blot. The interaction between PHA-E and EGFR could block EGF binding and then inhibit phosphorylation of EGFR on lung cancer cells. PHA-E could be developed into a new therapeutic molecule for lung cancer treatment and could be immobilized on the drug carrier as a targeting molecule to guide therapeutic particles to the tumor site. 14 List of Abbreviations AFM: atomic force microscope EGF: epidermal growth factor EGFR: Epidermal growth factor receptor GFP: green fluorescent protein KD: equilibrium dissociation constant NSCLC: non-small-cell lung cancer PHA-E: phytohemagglutinin erythroagglutinating SPR: surface plasmon resonance 15 References [1] Jemal, A.; Bray, F.; Center, M.M.; Ferlay, J.; Ward, E.; Forman, D. Global cancer statistics. CA Cancer J. Clin., 2011, 61, 69-90. 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(n = 517) Figure 3 SPR was used (a) to evaluate the binding affinity between EGF and EGFR by flowing EGF over EGFR-immobilized Sensor CM5 chip; and (b) to evaluate the binding affinity between PHA-E and EGFR by flowing PHA-E over EGFR-immobilized chip. Figure 4 The flow cytometer was to use to further check whether PHA-E could compete with EGF to bind to EGFR on A-549 cells. The experiment was divided into 7 groups: the untreated group was A-549 cells without any treatment, the group of EGF100 was A-549 cells treated with 100 ng/ml of EGF, the group of EGF100+PHA-E8 was A-549 cells treated with 100 ng/ml EGF and 8 µg/ml PHA-E, the groups of EGF100+PHA-E16, EGF100+PHA-E32, EGF100+PHA-E64, and EGF100+PHA-E128, was A-549 cells treated with 100 ng/ml EGF and 16 µg/ml PHA-E, 32 µg/ml PHA-E, 64 µg/ml PHA-E, and 128 µg/ml PHA-E, respectively. Figure 5 Immunofluorescent images showed the competing binding of EGF and PHA-E to EGFR on A-549 cells. A-549 cells were treated with EGF (500 ng/ml) and PHA-E (in different concentrations) for 30 min and then examined under confocal microscope. The green fluorescence was the EGF conjugated with green fluorescent protein (GFP) and the red fluorescence was the cell tracker to label the cytoplasm. Figure 6 The effect of PHA-E on EGFR phosphorylation was checked by Western blot, where (a) the expressions of EGFR phosphorylation; and (b) the quantization of Western blot images. The α-tubulin was used as internal standard. The experiment was divided into 8 groups: the untreated group was the A-549 cells without any treatment, the group of EGF50 was A-549 cells treated with 50 ng/ml of EGF, the group of EGF50+PHA-E1 was treated with 50 ng/ml EGF and 1 µg/ml PHA-E, the groups of EGF-50+PHA-E2, EGF50+PHA-E4, EGF50+PHA-E8, EGF50+PHA-E16, and EGF50+PHA-E32 was A-549 cells treated with 50 ng/ml EGF and 2 µg/ml PHA-E, 4 µg/ml PHA-E, 8 µg/ml PHA-E, 16 µg/ml PHA-E, and 32 µg/ml PHA-E, respectively. (*P < 0.05 and **P < 0.01 (n = 3) vs. the group of EGF50) 20 (a) (c) (b) (d) Figure 1 21 (a) (b) Figure 2 22 (a) (b) Figure 3 23 Figure 4 24 Figure 5 25 (a) (b) Figure 6 26 Table 1 Summary of average adhesion force of EGF and PHA-E to EGFR based on Figure 2 (n = 517)a Ligands EGF PHA-E Adhesion force to EGFR (pN) 183.65±86.93 207.14±74.42 ** a Data are presented as mean ± SD (** P<0.01) Table 2 Summary of the equilibrium dissociation constant (KD) of EGF and PHA-A to EGFR based on Figure 3 (n = 3)a Ligands EGF PHA-E KD (M) 7.3×10-8±2.7×10-8 2.4×10-9±1.4×10-9 ** a Data are presented as mean ± SD (** P<0.01) Table 3 Binding rate of EGF to EGFR in the different concentrations of PHA-E presence based on Figure 4 (n = 3)a Group Untreated EGF100 Binding rate of EGF to EGFR 0.1% ** 99.7%±0.1% a EGF100+ PHA-E8 99.4%±0.2% * EGF100+ PHA-E16 97.7%±0.7% ** EGF100+ PHA-E32 94.3%±1.3% ** EGF100+ PHA-E64 84.8%±3.4% ** Data are presented as mean ± SD (* P < 0.05 , ** P < 0.01 vs. the group of EGF100) 27 EGF100+ PHA-E128 75.4%±4.2% **